Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.63 / $1,016.28 / $1,016.28	Professional		$975.63	$1,016.28	$1,016.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.30 / $1,169.74 / $1,169.74	Professional		$939.30	$1,169.74	$1,169.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,339.47 / $1,541.18 / $6,874.20	Professional		$1,339.47	$1,541.18	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.36 / $1,122.95 / $1,310.10	Professional		$1,029.36	$1,122.95	$1,310.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.51 / $1,169.74 / $1,515.60	Professional		$954.51	$1,169.74	$1,515.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $970.13 / $1,531.48	Professional		$29.27	$970.13	$1,531.48